Blood loss

Severe or persistent haemorrhage (particularly in patient with a bleeding tendency)

Others

Diabetes with poor control

Trauma

After a tooth is extracted, the socket bleeds normally for a few minutes but then clots. Since clots are easily disturbed, patients should be advised not to rinse their mouth, disturb the clot, chew hard, take hot drinks or alcohol, or exercise for the next 24 hours. If the socket continues to bleed lie a gauze pad across the socket and ask the patient to bite on it for 15-30 minutes. If it is still bleeding place Surgicel or another haemostatic agent in the socket. If the bleeding continues suture the socket and, lastly, consider a bleeding tendency.

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